The “peel-away” technique for a ventriculoatrial shunt in a 6-month-old patient: A case report

Author:

Isaza Juan Pablo Leal1,Vallejo Santiago2,Aristizabal Jorge Humberto2,Rosales-Camargo Santiago Andrés3,Perilla-Estrada Juan Pablo4,Rueda Diego Quintero1

Affiliation:

1. Department of Neurosurgery, Universidad del Bosque, Bogotá, Colombia

2. Department of Neurosurgery, La Cardio Foundation, Bogotá, Colombia

3. Department of Neurosurgery, Insituto Nacional de Cancerología, Bogotá, Colombia

4. Department of Neurosurgery, Hospital of San José, Bogotá, Colombia.

Abstract

Background: A ventriculoatrial shunt (VAS) proves to be an excellent alternative in the treatment of hydrocephalus. Its usage is a viable option when ventriculoperitoneal shunt (VPS) is contraindicated in any age of patients. Case Description: This report highlights a successful case involving a 6-month-old patient who underwent VAS catheter positioning. The child presented with hydrocephalus and biliary atresia, making him a candidate for a liver transplant. Notably, a VPS was considered a relative contraindication in this scenario. Conclusion: The VAS emerges as a viable option for patients in whom a VPS might be contraindicated. This case demonstrates the successful application of a VAS in a pediatric patient.

Publisher

Scientific Scholar

Reference13 articles.

1. Endovascular retrieval of detached ventriculoatrial shunt into pulmonary artery in pediatric patient: Case report;Aloddadi;J Pediatr Neurosci,2018

2. Percutaneous technique for insertion of an atrial catheter for CSF shunting. Technical note;Ashker;J Neurosurg,1981

3. Ventriculoatrial shunts: Review of technical aspects and complications;Bakhaidar;World Neurosurg,2022

4. Difficulties of distal catheter insertion of ventriculoatrial shunting in infants and little children;Erdogan;Turk Neurosurg,2018

5. Liver transplant in a patient with a ventriculoperitoneal shunt;Faybush;Liver Transplant,2005

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